Prescribing Decisions
Share your experience on determining patients' A1C goals
I work as a consultant in long-term care and the majority of my patients are DM2
and over age 75. Since an HGA1C of 7 equates to an average blood sugar of 170, I
try to keep the noninsulin dependent patients below 7 on meds but I am very
concerned about those taking insulin and developing hypoglycemia. If they can
keep their 2 hour postprandial BS under 200 and their fasting blood sugars at 125
to 130, I see fewer problems with hypoglycemia causing falls and confusion. Most of
these people have had DM for many years and are used to the feeling of slightly
elevated BS.